1. Sensitivity: Public (C4)
1. STOP and THINK through the task YES/NO
I I possess valid permit to work (PTW) for the task
W Proper LOTO/Isolation has been done as required
O I possess valid class – I permit as applicable
R I clearly understand the job and what is required to be done
K I am trained to do the work and familiar with the equipment/task
S Ensuring that I hold appropriate licenses/certificates for this job
A Following SOP/SMP (or JSA/HIRADeC) for this job
F Wearing the appropriate PPE for the task being performed
E Are the tools and equipment in a safe & good condition (valid TPI certificates)
L Looking out for others' health and safety (workmates, visitors, etc.)
Y Demonstrating the safety standard I expect from others
Name: Dept: Date:
Work Location: Signature:
Job:
If ‘NO’ to any take action to correct
